Klucka, Mark

Klucka, Mark was paid $255K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 59% of everything it billed.

33Billing provider infoKLUCKA, MARK
ALTON, IL 62002

33aNPI1801902432assigned 08/23/2006

33bProvider typeFamily Medicine Physician

28Total paid$255K

24GClaims2,043

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2022

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#438 of 2,947

Median peer was paid$43K

This provider vs. median6.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	599	$71K
2019	584	$75K
2020	442	$42K
2021	398	$62K
2022	20	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
43239	Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	59%	840	773	$151K
45380	Colonoscopy, flexible; with biopsy, single or multiple	18%	348	321	$47K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	656	577	$43K
45385	Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s)	2.8%	32	32	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.8%	104	97	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	22	22	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	<1%	13	13	$893.75
99222	Initial hospital care, per day, moderate complexity	<1%	16	12	$616.80
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	12	12	$152.88

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.